Paediatric anaesthesia
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Paediatric anaesthesia · Nov 2008
Randomized Controlled TrialEffects of dexmedetomidine on intraoperative motor and somatosensory evoked potential monitoring during spinal surgery in adolescents.
Dexmedetomidine may be a useful agent as an adjunct to an opioid-propofol total intravenous anesthesia (TIVA) technique during posterior spinal fusion (PSF) surgery. There are limited data regarding its effects on somatosensory (SSEPs) and motor evoked potentials (MEPs). ⋯ Using the above-mentioned protocol, dexmedetomidine can be used as a component of TIVA during PSF without affecting neurophysiological monitoring.
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Paediatric anaesthesia · Nov 2008
Modified anchoring maneuver using pilot puncture needle to facilitate internal jugular vein puncture for small children.
Internal jugular vein (IJV) cannulation in infants has been reported with varied success using surface landmark. The aim is to share authors experience of modified anchoring technique used in infants. ⋯ In authors experience, the described technique detected IJV cannulation at its entry in majority of infants and so the method is less prone to complications related to overshooting of the needle in lack of IJV puncture detection.
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Paediatric anaesthesia · Nov 2008
Anesthetic management of gastrochisis--a review of our practice over the past 5 years.
Surgical closure of gastrochisis has traditionally been performed under general anesthesia followed by admission to intensive care and postoperative ventilation. We reviewed the management of these neonates in our hospital over the past 5 years to identify changes in practice and possible factors which affect the perioperative course. ⋯ Conclusions are difficult when analyzing retrospective data in patients with a variety of factors. The results suggest that anesthesia which includes a regional technique is a valid method in these cases. Traditional opioid analgesia when compared to regional techniques may be associated with increased need for postoperative ventilation.
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Paediatric anaesthesia · Nov 2008
THIS ARTICLE HAS BEEN RETRACTED Anatomic relationship between the internal jugular vein and the carotid artery in pre-school children--an ultrasonographic study.
Central venous cannulation (CVC) in young children is technically difficult and may lead to potentially serious complications especially when performed blindly or using anatomical landmarks only. The aim of this study was to determine the anatomical relationship of the internal jugular vein (IJV) and the common carotid artery (CA) in preschool children using ultrasound. ⋯ This study demonstrates that the IJV cover the CA in the majority of young children. Depth of the IJV is rarely more than 1 cm deep to the skin. Ultrasound location of the IJV and CA is easy and does not necessarily delay the procedure. The findings of this study support the use of ultrasound guidance for CVC in children.
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Paediatric anaesthesia · Nov 2008
Letter Case ReportsDifficult airway management in lymphangiomatos macroglossia.